Individual
SALVACION MANGACCAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7675 PINEVILLE CIR, CASTRO VALLEY, CA 94552-5356
(510) 366-3824
Mailing address
7675 PINEVILLE CIR, CASTRO VALLEY, CA 94552-5356
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
84368
CARE PROVIDER
CA
Enumeration date
09/12/2019
Last updated
09/12/2019
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